title: Multiple ventricular septal rupture after blunt trauma.
abstract: Ventricular septal rupture occurring as a result of blunt trauma is a very rare clinical condition. Compression of the heart between the sternum and the vertebral column during late diastole or isovolumetric contraction resulting in sudden increase in the intracardiac pressure is a prerequisite for its occurrence. Sudden relief of the inner pressure becomes impossible when the heart is full, thereby resulting in myocardial contusion and rupture. We report a case of a young schoolboy who presented to us with this serious disease and was successfully treated with surgical closure of the defect with a polytetrafluoroethylene patch.
authors.affiliation: Department of Cardiovascular and Thoracic Surgery, Government Medical College Hospital, Kozhikode, Kerala, India. rajeshctvs@rediffmail.com
authors.forename: Rajesh Sadanandan
authors.initials: RS
authors.lastname: Pillai
authors.forename: Preetha
authors.initials: P
authors.lastname: Prasad
authors.forename: Rajesh Gopalan
authors.initials: RG
authors.lastname: Nair
authors.forename: Sisir Balakrishna
authors.initials: SB
authors.lastname: Pillai
authors.forename: Biju Thazhathu
authors.initials: BT
authors.lastname: Puthenveetil
authors.forename: Kudakachira Mathew
authors.initials: KM
authors.lastname: Kuriakose
mesh_terms: D000293:Adolescent; D006348:Cardiac Surgical Procedures / Q000379:methods*; D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D005500:Follow-Up Studies; D006335:Heart Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D008297:Male; D009104:Multiple Trauma; D015599:Trauma Severity Indices; D018658:Ventricular Septal Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications* / Q000175:diagnosis / Q000601:surgery